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Susan Galandiuk, MD
Louisville, Ky

Arch Surg. 2002;137:1407.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Dr Sutherland and colleagues have undertaken a difficult task, that of analyzing results of RCTs, evaluating stapled and conventional hemorrhoidectomies. Stapled hemorrhoidectomy seems to be superior with respect to bleeding at 2 weeks and length of hospital stay. There is also a trend toward less postoperative pain and fewer problems with wound healing.

There are several important points that need to be taken into account when comparing stapled with conventional hemorrhoidectomy. Stapled hemorrhoidectomy is not hemorrhoidectomy in the true sense, but rather an excision of redundant rectal mucosa. Stapled hemorrhoidectomy is suitable for those patients who do not have a significant external hemorrhoidal component and those without a significant amount of hemorrhoidal prolapse. This procedure is probably suitable for most patients with grade 1 and 2 hemorrhoids, who are exactly those patients that respond most frequently to conservative treatment using fiber products, topical medication, rubber band ligation, . . . [Full Text of this Article]

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A Systematic Review of Stapled Hemorrhoidectomy
L. M. Sutherland, A. K. Burchard, K. Matsuda, J. L. Sweeney, E. L. Bokey, P. A. Childs, A. K. Roberts, B. P. Waxman, and G. J. Maddern
Arch Surg. 2002;137(12):1395-1406.
ABSTRACT | FULL TEXT